Hyperprolactinaemia — Non-tumour

Elevated prolactin without a pituitary tumour suppresses ovulation. Drug causes must always be excluded before treatment.

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Elevated prolactin without a pituitary tumour suppresses ovulation. Drug causes must always be excluded before treatment.

Irregular or absent periods

Galactorrhoea

Infertility

Low libido

Dopamine-blocking drugs (antipsychotics, metoclopramide)

Hypothyroidism

PCOS

Stress

Serum prolactin

Thyroid function tests

MRI pituitary to exclude adenoma

Drug history review

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